No. The provider that sees a patient must be credentialed by the carrier in order to bill for the services. The NPI for the provider who provides the services is placed in box 24J on a HCFA-1500 form. The provider can’t provide these services under any special agreement such as locum tenens.
If my associate sees a patient and they are not credentialed by the insurance plan that the patient has, can the claim be submitted under my name and NPI number?
No. The provider that sees a patient must be credentialed by the carrier in order to bill for the services. The NPI for the provider who provides the services is placed in box 24J on a HCFA-1500 form. The provider can’t provide these services under any special agreement such as locum tenens.
If my associate sees a patient and they are not credentialed by the insurance plan that the patient has, can the claim be submitted under my name and NPI number?